RadiographyPub Date : 2024-10-01DOI: 10.1016/j.radi.2024.09.060
B. Kataria , M. Woisetschläger , J. Nilsson Althén , M. Sandborg , Ö. Smedby
{"title":"Image quality assessments in abdominal CT: Relative importance of dose, iterative reconstruction strength and slice thickness","authors":"B. Kataria , M. Woisetschläger , J. Nilsson Althén , M. Sandborg , Ö. Smedby","doi":"10.1016/j.radi.2024.09.060","DOIUrl":"10.1016/j.radi.2024.09.060","url":null,"abstract":"<div><h3>Introduction</h3><div>Low contrast resolution in abdominal computed tomography (CT) may be negatively affected by attempts to lower patient doses. Iterative reconstruction (IR) algorithms play a key role in mitigating this problem. The reconstructed slice thickness also influences image quality. The aim was to assess the interaction and influence of patient dose, slice thickness, and IR strength on image quality in abdominal CT.</div></div><div><h3>Method</h3><div>With a simultaneous acquisition, images at 42 and 98 mAs were obtained in 25 patients. Multiplanar images with slice thicknesses of 1, 2, and 3 mm and advanced modeled iterative reconstruction (ADMIRE) strengths of 3 (AD3) and 5 (AD5) were reconstructed. Four radiologists evaluated the images in a pairwise manner based on five image criteria. Ordinal logistic regression with mixed effects was used to evaluate the effect of tube load, ADMIRE strength, and slice thickness using the visual grading regression technique.</div></div><div><h3>Results</h3><div>For all assessed image criteria, the regression analysis showed significantly (<em>p <</em> 0.001) higher image quality for AD5, but lower for tube load 42 mAs, and slice thicknesses of 1 mm and 2 mm, compared to the reference categories of AD3, 98 mAs, and 3 mm, respectively. AD5 at 2 mm was superior to AD3 at 3 mm for all image criteria studied. AD5 1 mm produced inferior image quality for liver parenchyma and overall image quality compared to AD3 3 mm. Interobserver agreement (ICC) ranged from 0.874 to 0.920.</div></div><div><h3>Conclusion</h3><div>ADMIRE 5 at 2 mm slice thickness may allow for further dose reductions due to its superiority when compared to ADMIRE 3 at 3 mm slice thickness.</div></div><div><h3>Implications for practice</h3><div>Combination of thinner slices and higher ADMIRE strength facilitates imaging at low dose.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1563-1571"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiographyPub Date : 2024-10-01DOI: 10.1016/j.radi.2024.09.063
H. Yusuff , S. Chatelin , J.-P. Dillenseger
{"title":"Narrative review of tissue-mimicking materials for MRI phantoms: Composition, fabrication, and relaxation properties","authors":"H. Yusuff , S. Chatelin , J.-P. Dillenseger","doi":"10.1016/j.radi.2024.09.063","DOIUrl":"10.1016/j.radi.2024.09.063","url":null,"abstract":"<div><h3>Introduction</h3><div>Tissue-mimicking materials (TMMs) are now essential reference objects for quality control, development and training in all medical imaging modalities. This review aims to provide a comprehensive synthesis of materials used in the fabrication of TMMs for MRI phantoms, focusing on their composition, fabrication methods, and relaxation properties (T1 and T2).</div></div><div><h3>Methods</h3><div>A systematic review was conducted, covering articles published between 1980 and 2023. Inclusion criteria encompassed studies involving physical MRI phantoms with measured T1 and T2 relaxation times. Exclusion criteria filtered out non-MRI studies, and digital/computational models.</div></div><div><h3>Results</h3><div>The review identifies and categorizes TMMs based on their primary gelling agents: agar, carrageenan, gelatin, polyvinyl alcohol (PVA), and other less common gels. Agar emerged as the most frequently used gelling agent due to its versatility and favorable MRI signal properties. Carrageenans, noted for their strength and minimal impact on T2 values, are often used in combination with agar. Gelatin, PVA, and other materials like Polyvinyl chloride (PVC) and PolyvinylPyrrolidone (PVP) also demonstrate unique advantages for specific applications. The review also highlights the challenges in phantom stability and the impact of various additives on the relaxation properties.</div></div><div><h3>Conclusion</h3><div>This synthesis provides a valuable guide for the fabrication of MRI phantoms tailored to desired T1 and T2 relaxation times, facilitating the development of more accurate and reliable imaging tools. Understanding the detailed properties of TMMs is fundamental to improve the quality control and educational applications of MRI technologies, especially with the advent of new magnetic field strengths and parametric imaging techniques.</div></div><div><h3>Implication for practice</h3><div>As experts in MRI systems, radiographers, educators, and researchers need to understand TMM compositions and methods of fabrications to develop MRI phantoms for educational tools and research purposes. This review serves as a valuable resource to guide them in these efforts.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1655-1668"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiographyPub Date : 2024-10-01DOI: 10.1016/j.radi.2024.09.023
Alison Sanneh , Bahaty Riogi , Sheena Chauhan
{"title":"A Global Partnership - The design, implementation and evaluation of a Foundation in Oncology Module- Reducing the global health burden of cancer through human resource and capacity strengthening","authors":"Alison Sanneh , Bahaty Riogi , Sheena Chauhan","doi":"10.1016/j.radi.2024.09.023","DOIUrl":"10.1016/j.radi.2024.09.023","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S11-S12"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiographyPub Date : 2024-10-01DOI: 10.1016/j.radi.2024.09.018
Heidi Probst , Helen Dring , Naman Julka-Anderson , Rachel Harris , Helen Simpson , Anna Southworth , Janet Ulman
{"title":"Putting the patient voice at the heart of information and education resources: The Respire+ website for radiotherapy following a breast cancer diagnosis.","authors":"Heidi Probst , Helen Dring , Naman Julka-Anderson , Rachel Harris , Helen Simpson , Anna Southworth , Janet Ulman","doi":"10.1016/j.radi.2024.09.018","DOIUrl":"10.1016/j.radi.2024.09.018","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S8-S9"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiographyPub Date : 2024-10-01DOI: 10.1016/j.radi.2024.09.019
Sheila Hassan , Catherine Holborn , Puteri Abdul Harris , Omar Al-Salihi , Lucy Brazil , Kazumi Chia
{"title":"What is the Quality-of-Life impact of surrendering a driving license for patients following Stereotactic Radiosurgery /Radiotherapy for brain metastases at a single centre","authors":"Sheila Hassan , Catherine Holborn , Puteri Abdul Harris , Omar Al-Salihi , Lucy Brazil , Kazumi Chia","doi":"10.1016/j.radi.2024.09.019","DOIUrl":"10.1016/j.radi.2024.09.019","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S9-S10"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiographyPub Date : 2024-10-01DOI: 10.1016/j.radi.2024.09.036
Jo McNamara , Jakub Thornley , Zoe Grant , Shannon Johnson
{"title":"Navigating the Journey: Insights into Why Individuals Pursue Therapeutic Radiography Courses in the UK and the Effectiveness of Recruitment Strategies.","authors":"Jo McNamara , Jakub Thornley , Zoe Grant , Shannon Johnson","doi":"10.1016/j.radi.2024.09.036","DOIUrl":"10.1016/j.radi.2024.09.036","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S17-S18"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"To pass or not to pass? Determining the acceptability of anteroposterior and lateral knee radiographs","authors":"C.J.H. Gan , X. Zhuang , D.T.F.B. Mahmood , E.C.-P. Chua","doi":"10.1016/j.radi.2024.09.067","DOIUrl":"10.1016/j.radi.2024.09.067","url":null,"abstract":"<div><h3>Introduction</h3><div>The criteria for determining the acceptability of total knee replacement (TKR) radiographs are not established in current clinical practice. In TKR patients, the implant components replaced the anatomical landmarks, making it more difficult for radiographers to determine the degree of rotation. This study aims to establish an acceptable range of knee rotation for TKR radiographs.</div></div><div><h3>Methods</h3><div>Rejected TKR radiographs (199 AP and 186 lateral) were analysed retrospectively. Radiographers objectively measured rotation on the radiographs. A subset of 46 AP and 46 lateral radiographs were rated by orthopaedic surgeons for rotation and diagnostic value. Inter-rater reliability (IRR) of radiographic measurements and surgeons' ratings were analysed using Bland–Altman and Cohen's kappa, respectively. Spearman's rank-order correlation and Receiver Operator Characteristic analyses were used to determine the correlation and diagnostic performance of the radiographic measurements against the surgeon's ratings.</div></div><div><h3>Results</h3><div>Strong IRR was observed for the radiographic measurements. Only slight to fair agreement was observed for the surgeons' rotation and diagnostic value ratings of the radiographs. Moderate to strong correlation was observed between the radiographic measurements and the surgeons’ ratings. The radiographic measurements provided acceptable to excellent discrimination of acceptable and unacceptable radiographs. The acceptable range of measured rotation for usability was AP: 0–5.29 mm and lateral: 0–6.01 mm.</div></div><div><h3>Conclusion</h3><div>The proposed measurement methods and the established rotation range could potentially be used by radiographers in clinical practice to determine the acceptability of TKR radiographs. Follow-up studies could investigate uncommon knee implants and seek consensus across different institutions on the acceptable degree of rotation.</div></div><div><h3>Implications for practice</h3><div>The proposed method suggests that accepting radiographs within the threshold (AP: 5.29 mm, lateral: 6.01 mm) reduces repeated examination and radiation exposure and improves imaging efficiency.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1578-1587"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiographyPub Date : 2024-10-01DOI: 10.1016/j.radi.2024.09.025
Melanie Clarkson , Ricardo Khine
{"title":"Embedding the values of those with lived experience in the development of a national advanced practice curriculum","authors":"Melanie Clarkson , Ricardo Khine","doi":"10.1016/j.radi.2024.09.025","DOIUrl":"10.1016/j.radi.2024.09.025","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S12-S13"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}